THE ACTIVITY OF TRANSFUSION AND EMATHOLOGY DEPARTMENTS

The transfusion and hemathology medical departments (THMD) include the facilities operating on their own territory and have the task to carry on all activities related to coordination and organization of donation issues, prevention, diagnosis and care of blood diseases.

2013

2014

2015

2016

Sangue intero raccolto (U)

479.397

470.991

474.373

467.372

Plasmaferesi raccolte (U)

87.135

85.257

81.240

75.168

Cessione extraregione (EC)

10.461

11.447

8.172

8.467

Plasma inviato all’industria (Kg)

149.993

147.305

152.112

153.583

Beneath we present some data about the actvity carried out by The Trasnfusion and Emathological Medical Departments in 2014:

The whole blood collection

The whole blood collection was 470.991 vs 479.397 units (-1.75%) with a regional donation index of 1.76. The highest level was achieved in Lodi’s THMD (2.07).

The whole blood collection in the spoke centers was 164.531 vs 159.881 with a sharp raise (+2.91) as compared to 2013 thus bringing up the regional percentage at the 35% in the spoke center.

Quantity of produced plasma

The amount of blood work is complete: indeed there are no homologous whole blood units.

As per the production there are some departments (Como, Mantova, Sondrio, Monza, Milano Niguarda and S. Paolo) that already oriented their activity toward partial red blood cells (RBC) collection without a pre-storage white blood cells in contrast with the standard production of concentrated RBCs without the buffy-coat. This solution has been applied in different proportion in these departments. This production accounts for approximately 19% in the whole region.

There is only a small proportion of concentrated RBCs but not deprived by the buffy-coat. This proportion, however, is very small and it is progressively reduced as compared to that of the last year (272 vs 483).

It is worthy to remember that the passage to the total pre-storage filtration will be completed in 2015 when the Working and validation Center will be fully operating.

Quality of the platelets produced

The platelet collection is quite different even though the majority of the departments is oriented toward the preparation of the platelet pools from buffy coat.

Quality of plasma produced

The whole blood preparation brought to such a production which is able to guarantee the regional self-sufficiency albeit allowing the delivery of RBCs to other regions. This proportion is greater than in 2013: 11447 vs 10461. The amount imported from other regions has decreased to zero in the past years.